Individual
TAIWANA MACHELLE ROLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BACHELOR PSYCHOLOGY
Contact information
Practice address
1100 LUCERN AVE APT 3, MODESTO, CA 95350-6061
(408) 600-8216
Mailing address
1100 LUCERN AVE APT 3, MODESTO, CA 95350-6061
(408) 600-8216
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
CA
372600000X
Adult Companion
Primary
—
CA
Other
Enumeration date
06/14/2025
Last updated
05/15/2026
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